<%@ Page Language="C#" MasterPageFile="~/AdminForms/AdminHeaderFooter.master" AutoEventWireup="true"
    CodeFile="frmAdmin_CustomPage.aspx.cs" Inherits="frmAdmin_CustomPage" Title="Untitled Page" %>

<%@ MasterType VirtualPath="~/AdminForms/AdminHeaderFooter.master" %>
<asp:Content ID="Content1" ContentPlaceHolderID="adminheaderfooter" runat="Server">
   <%-- <form id="addeditDisease" method="post" runat="server">--%>
   <div style="padding-top:110px;">
        <h3 class="margin" align="left">
            <asp:Label ID="lblHeader" runat="server" Text="OI or AIDS Defining Illness"></asp:Label></h3>
        <div class="border center formbg">
            <br>
            <table cellspacing="6" cellpadding="0" width="100%" border="0">
                <tbody>
                    <tr>
                        <td class="border center pad5 whitebg" width="40%" nowrap="nowrap">
                            <asp:Label ID="lblName" runat="server" Text="OI or AIDS Defining Illness" Font-Bold="true"></asp:Label>
                            <asp:TextBox ID="txtName" runat="server"></asp:TextBox>
                        </td>
                        <td id="tdStatus" runat="server" class="border center pad5 whitebg" width="30%">
                            <asp:Label ID="lblStatus" runat="server" Text="Status :" Font-Bold="true"></asp:Label>
                            <asp:DropDownList ID="ddStatus" runat="server">
                                <asp:ListItem Value="0">Active</asp:ListItem>
                                <asp:ListItem Value="1">Inactive</asp:ListItem>
                            </asp:DropDownList>
                        </td>
                        <td class="border center pad5 whitebg" width="30%">
                            <asp:Label ID="lblPriority" runat="server" Text="Priority :" Font-Bold="true"></asp:Label>
                            <asp:TextBox ID="txtSeqNo" runat="server"></asp:TextBox>
                        </td>
                    </tr>
                </tbody>
            </table>
            <table width="100%">
                <tbody>
                    <tr>
                        <td align="center">
                            <asp:Button ID="btnSave" runat="server" Text="Save" OnClick="btnSave_Click" />
                            <asp:Button ID="btnCancel" runat="server" Text="Reset" OnClick="btnCancel_Click" />
                            <asp:Button ID="btnExit" runat="server" Text="Close" OnClick="btnExit_Click" />
                        </td>
                    </tr>
                </tbody>
            </table>
            <br />
        </div>
    </div>
</asp:Content>
